Individual provider Active NPI

Ilmaris Rivera Laffita

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1780499442
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT25405677 Issued in FL
Practice address
391 Lee Blvd Ste 200
Lehigh Acres, FL 33936-4973
Phone
(239) 344-9236
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT25405677 FL Primary

Addresses

Primary practice location

391 Lee Blvd Ste 200
Lehigh Acres, FL 33936-4973

Mailing address

1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852
Phone (239) 491-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT25405677FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Health Center LLC CurrentSince Feb 23, 2025 Accepting new patients
CLR Behavior LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1154 Lee Blvd
Ste 6
Lehigh Acres, FL 33936
Phone (239) 491-2603

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1780499442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 6",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-491-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LEE BLVD STE 200",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364973",
            "telephone_number": "239-344-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LAFFITA",
        "first_name": "ILMARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT25405677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.